Annette Gaskins, FNP
Individual provider Active NPI Family Nurse Practitioner · Scott Depot, WV
NPI 1134529415 · NPPES record last updated Mar 17, 2015
Key facts
- NPI
- 1134529415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN81438 (WV)
- Practice address
- 97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9815 - Phone
- (304) 757-6999
- Fax
- (304) 757-3252
- NPI assigned
- Aug 24, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN81438 | WV | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN81438 | WV | Yes |
Addresses
Primary practice location
97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9815
Mailing address
97 Great Teays Blvd
Suite 6
Scott Depot, WV 25560-9815
Phone (304) 757-6999
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810028512 | Medicaid | WV |
Other providers in Scott Depot, WV
- Kimberly Jean Frame
- Jody Joe Franco
- Emily Alison Frazier
- Fruth Pharmacy Inc
- Lauren Gandee
- Ghareeb,DDS, PC
- Emily Henley Gibson
- Grace Ann Gibson
- Amanda Gooch
- Beverly Graham
All providers in Scott Depot, WV · Family Nurse Practitioner in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.